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Guidelines for Reports by Autopsy Pathologists (Hardcover, 2008 ed.)
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Guidelines for Reports by Autopsy Pathologists (Hardcover, 2008 ed.)
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Guidelines for Reports by Autopsy Pathologists is intended to help
the autopsy pathologist produce reports that communicate well.
Having evolved from a coll- tion of faculty critiques of the
autopsy reports, summary and opinion reports, scene reports, and
death certi?cates produced by residents in anatomic pathology and
f- lows in forensic pathology, the book emphasizes topics that have
been troublesome for trainees. For clinicians, the medical record
describes their work product. For autopsy pathologists, the written
report is the work product and demands an acco- ingly higher
standard of composition. Most reports produced by pathologists can
be divided into objective and subjective elements, or, in other
words, ?ndings and opinions. The pathologist must have a clear
understanding of the linkage between the two. When composing a
report, the autopsy pathologist should serve the goal of c-
municating to the parties who will read the report, namely, the
case pathologist him- or herself (at a later date), attorneys, the
family of the decedent, and other physicians. I believe that
careless and imprecise thinking leads to sloppy language, and that
sloppy language leads to careless and imprecise thinking. In my
experience, pathologists who learn how to clearly express and
organize their ?ndings and op- ions in a written format make more
detailed and focused observations at the autopsy table.
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